Shay Hannigan-Luther, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A161201393 Issued in WA

Practice address

Washington State University Athletics
Bohler Athletic Complex M4
Pullman, WA 99163

Phone

(208) 771-3541

NPI assigned

Aug 30, 2021

Last updated

Aug 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1063189785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 E BANCROFT AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143926",
            "telephone_number": "208-771-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WASHINGTON STATE UNIVERSITY ATHLETICS",
            "address_2": "BOHLER ATHLETIC COMPLEX M4",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "99163",
            "telephone_number": "208-771-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNIGAN-LUTHER",
        "first_name": "SHAY",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A161201393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley F Guida, MD
• Keith Gordon Haley, LICENSE MENTAL HEALT
• Stephen P Hall, M.D.
• Gena Kenitra Hammac, D.V.M.
• Daniel J Hammond, DMD
• Thomas Daniel Hansen, LMP-C
• Denise J Harari, LMP
• Cathy Harbour Harbour, HC
• Edward Charles Harkins, PT
• Elizabeth Harrington

• Athletic Trainer in Pullman, WA
• Providers in Pullman, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.